Leslie, A. v. Public Health Mngmt. Corp. ( 2023 )


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  • J-A10034-23
    J-A10035-23
    
    2023 PA Super 142
    ANTOINE H. LESLIE,                     :   IN THE SUPERIOR COURT OF
    ADMINISTRATOR OF THE ESTATE OF         :        PENNSYLVANIA
    RENEE D. GILYARD, DECEASED             :
    :
    :
    v.                        :
    :
    :
    PUBLIC HEALTH MANAGEMENT               :   No. 2267 EDA 2021
    CORPORATION D/B/A WORDSWORTH           :
    ACADEMY, TURNING POINTS FOR            :
    CHILDREN,TURNING POINTS CUA 3,         :
    LLC, THE TURNING POINTS FOR            :
    CHILDREN CHARITABLE                    :
    FOUNDATION, TURNING POINTS CUA         :
    9, LLC, DEBORAH CROSTON AND            :
    JOHN AND JANE DOE 1-10                 :
    Appeal from the Order Entered October 21, 2021
    In the Court of Common Pleas of Philadelphia County Civil Division at
    No(s): 210501900
    ANTOINE H. LESLIE,             :           IN THE SUPERIOR COURT OF
    ADMINISTRATOR OF THE ESTATE    :                PENNSYLVANIA
    OF RENEE D. GILYARD, DECEASED  :
    :
    :
    v.                  :
    :
    :
    PUBLIC HEALTH MANAGEMENT       :           No. 662 EDA 2022
    CORPORATION D/B/A              :
    WORDSWORTH ACADEMY, TURNING :
    POINTS FOR CHILDREN, TURNING   :
    POINTS CUA 3, LLC, THE TURNING :
    POINTS FOR CHILDREN CHARITABLE :
    FOUNDATION, TURNING POINTS CUA :
    9, LLC, DEBORAH CROSTON, AND   :
    JOHN AND JANE DOE 1-10         :
    J-A10034-23
    J-A10035-23
    Appeal from the Order Entered January 31, 2022
    In the Court of Common Pleas of Philadelphia County Civil Division at
    No(s): 210501900
    BEFORE:      PANELLA, P.J., KING, J., and STEVENS, P.J.E.*
    OPINION BY STEVENS, P.J.E.:                           FILED JULY 28, 2023
    These consolidated interlocutory appeals1 are taken from two discovery
    orders entered by different judges of the Court of Common Pleas of
    Philadelphia presiding over the present wrongful death and survival action
    brought on behalf of the estate of Renee D. Gilyard, a foster care parent
    murdered by her then 17-year-old foster child, Xavier Johnson. After careful
    review, we vacate the orders at issue and remand for further proceedings
    consistent with this decision.
    The pertinent facts and procedural history are that on May 21, 2021,
    Antoine Leslie (“Administrator”), the son of Ms. Gilyard and administrator of
    ____________________________________________
    * Former Justice specially assigned to the Superior Court.
    1 The grant of jurisdiction to this Court is codified in 42 Pa.C.S.A. § 742 and
    42 Pa.C.S.A. § 762(a). An interlocutory appeal may be taken as of right when
    the order appealed from "is an order separable from and collateral to the main
    cause of action where the right involved is too important to be denied review
    and the question presented is such that if review is postponed until final
    judgment in the case, the claim will be irreparably lost." Pa.R.A.P. 313(b).
    Herein, this Court has jurisdiction to decide the present appeals because an
    order requiring disclosure of allegedly privileged material or confidential
    medical information is an appealable collateral order under Rule 313(b).
    Pasquini v. Fairmount Behavioral Health System, 
    230 A.3d 1190
    , 1194
    (Pa. Super. 2020); Buckman v. Verazin, 
    54 A.3d 956
    , 959 (Pa. Super.
    2012); V.B.T. v. Family Services of Western Pennsylvania, 
    705 A.2d 1325
    , 1329 n.6 (Pa. Super. 1998), aff'd, 
    728 A.2d 953
     (Pa. 1999).
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    her estate brought this action against Defendants/Appellants,2 alleging in the
    Complaint that the Turning Points Defendants were a foster family care agency
    under contract with the Philadelphia Department of Human Services.
    Complaint ¶¶ 14, 24-26.          The Complaint alleged that the Turning Points
    Defendants and Deborah Croston (collectively, “Defendants/Appellants”) and
    the Doe defendants placed 17-year-old foster child, Xavier Johnson, with
    foster care parent Renee Gilyard and that Johnson murdered Gilyard within
    days after he was placed in her home. Id. ¶¶ 26, 28, 36, 42. The Complaint
    alleged further that Defendants/Appellants and the Doe defendants knew at
    the time of the placement that Johnson had history of violence and, therefore,
    are liable in negligence for her death because they failed to disclose that
    history   of violence      to   Gilyard.       Id.   ¶¶ 37-39, 41, 50-55, 60-63.
    Appellants/Defendants in their answer denied these allegations. Answer and
    New Matter ¶¶ 37-39, 41, 50-55, 60-63.
    Pursuant to the Administrator’s discovery requests, the trial court’s
    discovery orders directed Defendants/Appellants to produce both Johnson’s
    foster care case record and additional information that Defendants/Appellants
    contend are also part of Johnson’s foster care case record.           Specifically,
    Defendants/Appellants argued that they are prohibited by law from disclosing
    ____________________________________________
    2 Most of Defendants/Appellants’ briefs in these appeals list the Philadelphia
    Parking Authority as a defendant-appellant in the caption. That is an error.
    The Philadelphia Parking Authority is not a party to this case and is not in the
    caption of either appeal.
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    any of the requested records and information and that some of the documents
    sought are protected medical and mental health records.
    The first appeal (under 2267 EDA 2021) concerns the Administrator’s
    service for production of documents on Defendants/Appellants on May 24,
    2021, that requested that they produce complete copies of any records that
    were in their possession prior to and during Johnson’s placement with Gilyard
    “that contain any information concerning Xavier Johnson’s medical history,
    mental health diagnosis, general behaviors, relationships between him and his
    parents, educational history, life experiences, and previous and/or prospective
    circumstances.”      Plaintiff’s Request for Production of Documents (Set I),
    Requests Nos. 1-2.3
    Defendants/Appellants filed objections to these document requests,
    asserting that the documents sought are protected from discovery by 
    55 Pa. Code § 3130.44
    , the federal Health Insurance Portability and Accountability
    Act of 1996 medical privacy regulations (HIPAA), and the Pennsylvania Mental
    Health Procedures Act (MHPA).            Turning Points Defendants’ Response to
    Request for Production of Documents (Set I), Response to Requests Nos. 1-2.
    The Administrator filed a motion to compel production of these
    documents and Defendants/Appellants, in addition to filing an opposition to
    the Administrator’s motion, filed a motion for a protective order seeking a
    ____________________________________________
    3 Plaintiff had previously unsuccessfully sought similar documents in pre-
    complaint discovery in an earlier action against the Turning Points Defendants
    commenced by summons and the discovery was denied in those actions
    without opinion.
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    ruling that the requested documents were protected from discovery unless an
    authorization     to     release     the    records      was     given   by     Johnson.
    Defendants/Appellants           asserted,   in    both   their     opposition   to   the
    Administrator’s motion and their motion for a protective order, that those
    records contain details related to Johnson’s juvenile court proceedings,
    medical history, mental and behavioral health history, and foster care and
    placement history, that 
    55 Pa. Code § 3130.44
     and the Juvenile Act, 42
    Pa.C.S. §§ 6301-6375, prohibit disclosure of such documents, and that HIPAA
    and the MHPA, 50 P.S. §§ 7101-7503 prohibit production of the medical
    records     and        mental      health    and      behavioral      health    records.
    Defendants/Appellants’ Memorandum of Law in Opposition to Plaintiff’s Motion
    to Compel at 31-38; Defendants’/Appellants’ Motion for Protective Order ¶¶
    6, 19-27.
    On September 1, 2021, Johnson moved to quash a subpoena that had
    been issued seeking production of his criminal lawyer’s files asserting, inter
    alia, that his foster care case record was protected from discovery and that he
    did not consent to its disclosure. Johnson Motion to Quash Subpoena ¶¶ 5-8.
    On October 21, 2021, the trial court judge (Judge Sean F. Kennedy) entered
    both an order denying Defendants/Appellants’ motion for a protective order
    and an accompanying order granting the Administrator’s motion to compel
    and directing the Turning Points Defendants to produce all documents
    requested in the Administrator’s first set of document requests without any
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    limitation concerning the types of documents and without any confidentiality
    order as to any of the documents to be produced. Trial Court Order, 10/21/21.
    Defendants/Appellants appealed the order granting the Administrator’s
    motion to compel on November 3, 2021, at 2267 EDA 2021.
    The second appeal (under 662 EDA 2021) concerns the Administrator’s
    second and third sets of interrogatories and document requests served upon
    Defendants/Appellants on October 25, 2021, just four days after the October
    21, 2021, order that is the subject of the 2267 EDA 2021 appeal. The second
    set interrogatories sought information concerning insurance coverage for the
    claims in the Administrator’s action and the second set document requests
    sought        documents   concerning    such   insurance   coverage.    Plaintiff’s
    Interrogatories (Set II) at 4-6; Plaintiff’s Request for Production of Documents
    (Set II) at 3. The third set interrogatories sought identification of witnesses
    and information concerning witness statements and investigations of the
    claims in the Administrator’s action, reports concerning Johnson’s behavior
    prior    to    his   placement   with   Gilyard,   Defendants/Appellants’   factual
    contentions, and evidence that Defendants/Appellants intended to use at trial.
    Plaintiff’s Interrogatories (Set III) at 3-8. The third set document requests
    sought only documents identified in their response to the third set
    interrogatories. Plaintiff’s Request for Production of Documents (Set III) at 3.
    Defendants/Appellants did not file responses to this discovery.
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    On December 14, 2021, while the 2267 EDA 2021 appeal was pending,
    the Administrator moved to compel answers in its second and third set
    interrogatories and production of the documents requested by the second and
    third set document requests.       Defendants/Appellants did not object to
    providing responses to the second set insurance interrogatories and document
    requests, Defendants’/Appellants’ Response to Plaintiff’s Second Motion to
    Compel at 4 n.4, but they opposed providing any answers or documents in
    response to the third set interrogatories and document requests.
    On January 31, 2022, the trial court (Judge Dennis B. Cohen) entered
    an order granting the Administrator’s motion to compel and ordering
    Defendants/Appellants to provide full and complete responses to the
    Administrator’s third set interrogatories other than Interrogatories 12 and 14,
    and to produce the documents requested by the third set document requests.
    Trial Court Order, 1/31/22.   Defendants/Appellants appealed this order on
    February 25, 2022, at 662 EDA 2022.
    "Generally, on review of an order concerning discovery, an appellate
    court applies an abuse of discretion standard."    Berkeyheiser v. A- Plus
    Investigations, Inc., 
    936 A.2d 1117
    , 1125 (Pa. Super. 2007) (citations
    omitted)." To the extent that the question involves a pure issue of law, [the
    Court's] scope ... of review [is] plenary." 
    Id.
     "Whether an order is appealable
    under Rule 313 is a question of law." Commonwealth v. Williams, 86 A.3d
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    771, 781 (Pa. 2014).     As such, the standard of review as to that issue is
    plenary. 
    Id.
    In their first appeal, Defendants/Appellants ask this Court to determine
    whether the foster care case record is protected from disclosure in its entirety.
    They argue that their records of Johnson’s medical history, mental health
    diagnosis, general behaviors, relationships between him and his parents,
    educational history, life experiences, and previous and/or prospective
    circumstances are contained in his foster care case record and that Section
    3130.44 of Pennsylvania’s children and youth social service regulations, 
    55 Pa. Code § 3130.44
    , governing the confidentiality of foster care case records,
    and Section 6307 of the Juvenile Act prohibit disclosure of those records.
    Section 3130.44 provides in relevant part:
    (a) Information that may be used to identify the child or the
    parents by name or address, and information contained in the
    case record, is confidential. A staff person may not disclose
    or make use of information concerning the child or the
    parents other than in the course of the performance of his
    duties.
    (b) Federal authorities, the Commonwealth and the Department
    or respective authorized agents officially charged with
    administrative supervision, review, evaluation or audit
    responsibilities may have access to and the right to use
    information ….
    (c) Members of the administrative review panels, volunteers,
    another county agency and other providers of services to
    children and families who are accepted for service by the
    county agency may have access to and the right to use
    information identifying recipients of children and youth
    services. The amount and type of information to be
    released shall be determined by the county agency and
    shall be limited to information needed by the service
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    provider to carry out its responsibilities. The decision to
    release information shall be based on the county agency’s
    assessment of the individual case record and the responsibilities
    of a service provider. Information released may include part or all
    of the case record.
    (d) Information contained in case records shall be released upon
    request to:
    (1) Parents and legal guardians.
    (2) Children’s and parents’ attorneys.
    (3) The court and court staff.
    (4) County executive officers.
    (5) The child, if 14 years of age or older. The county agency may
    withhold information from a child which it has reason to believe it
    will be harmful to the child. The basis for withholding information
    from a child shall be recorded in the child’s case record.
    (e) Information in case records may not be released to a
    person or agency other than those specified in subsections
    (b)-(d) without prior authorization of the court.
    (f) Information from a case record may be made available
    only if the information released does not contain material
    which violates the right to privacy of another individual or is
    protected or made confidential by law. This may not be
    construed to protect the right to privacy of a county agency
    employe.
    
    55 Pa. Code § 3130.44
     (emphasis added). These confidentiality restrictions
    apply to foster family care agencies. V.B.T. v. Family Services of Western
    Pennsylvania, 
    705 A.2d 1325
    , 1333-34 n.13 (Pa. Super. 1998), aff'd, 
    728 A.2d 953
     (Pa. 1999).
    The Administrator argued and the trial court held that this regulation
    does not prohibit the disclosure of Johnson’s foster care case record that the
    trial court ordered because Gilyard was entitled, as a foster parent, to the
    information that the document requests seek and her estate succeeds to her
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    rights under the Survival Act, 42 Pa.C.S. § 8302.          Section 3700.38 of
    Pennsylvania’s foster family care agency regulations, provides that a foster
    parent has a right to otherwise confidential information from the foster care
    case record. 
    55 Pa. Code § 3700.38
    (c). The documents governing Gilyard’s
    relationship with the Turning Point Defendants provided that she had a right
    to receive information regarding her foster child’s “medical history, mental
    health diagnosis, general behaviors, relationships between [him] and [his]
    parents, educational history, life experiences, and previous and/or prospective
    circumstances.” Turning Points for Children Resource Parent Rights and
    Responsibilities ¶5. In addition, Section 3130.44 expressly permits disclosure
    of foster care case record information to providers of services to foster
    children. 
    55 Pa. Code § 3130.44
    (c). Under these provisions, Gilyard thus had
    a right to receive information from Johnson’s foster care case record while he
    was under her care. V.B.T, 
    705 A.2d at
    1333-34 n.13.
    These provisions, however, limit the disclosure to the situation where
    the foster parent can use the information in providing care for the foster child
    at the time of the disclosure. 
    55 Pa. Code § 3700.38
    (c) (“Foster families shall
    be provided information from the case record which is necessary to protect
    the child’s health and safety and to assist in the child’s successful
    accomplishment of necessary educational, developmental or remedial
    tasks”) (emphasis added); Turning Points for Children Resource Parent Rights
    and Responsibilities ¶5 (providing that foster parent has a right to such
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    information “to facilitate the care of the child”); 
    55 Pa. Code § 3130.44
    (c)
    (“The amount and type of information to be released … shall be limited to
    information needed by the service provider to carry out its responsibilities”).4
    Disclosure to the Administrator does not satisfy these limitations because
    Gilyard at the time of disclosure was no longer providing care to Johnson. This
    is not merely a result of her death, as it would be equally true if she were alive
    and was no longer providing foster care for Johnson.
    Even if Administrator is not a person authorized to receive information,
    however, that not does not mean that Section 3130.44 immunizes the foster
    care case record from all discovery. Section 3130.44(e) expressly permits
    disclosure of foster care case record information pursuant to court order
    without restricting the parties to whom a court may order disclosure. 
    55 Pa. Code § 3130.44
    (e) (“Information in case records may not be released to a
    person or agency other than those specified in subsections (b)-(d) without
    prior authorization of the court”) (emphasis added). Thus, it appears that
    Section 3130.44 only limits Defendants/Appellants’ ability to disclose foster
    care records without court order and is not a prohibition of court-ordered
    disclosure or a complete privilege or protection against court-ordered
    disclosure to a plaintiff in a personal injury action.
    ____________________________________________
    4 Plaintiff argues that the foster parent is entitled to receive information to
    decide whether to accept the placement. It appears from the language of 
    55 Pa. Code § 3700.38
    (c) and the resource parent document that the purpose of
    providing the information is to improve the care of the child, not to benefit the
    foster parent in deciding whether to accept the placement.
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    Two Pennsylvania cases and one federal district court case have
    considered whether foster care records are protected from discovery in a
    personal injury action. See V.B.T., S.M. v. Children and Youth Services
    of Delaware County, 
    686 A.2d 872
     (Pa. Cmwlth. 1996), and L.W. v.
    Lackawanna County, 
    2015 WL 1499865
     (M.D. Pa. 2015). None of these
    cases resolves either of the above issues.
    In V.B.T., 
    728 A.2d 953
     (Pa. 1999) the Supreme Court affirmed by Per
    Curiam order based on this Court’s opinion that records of a foster child who
    allegedly injured the plaintiff were protected from discovery in a personal
    injury suit against the foster family agency and the foster parents of the
    assailant. V.B.T., 
    705 A.2d at 1331-37
    . The Court ruled that the plaintiff’s
    need for the documents and information did not overcome the statutory
    privileges that applied in that case because the disclosure that was sought did
    not further the aims of the statutes involved. 
    Id. at 1334-37
    .
    The Court, however, did not hold or suggest that Section 3130.44 bars
    discovery of foster care records. Rather, the records sought concerned the
    assailant’s history of being a victim of abuse, and the privileges that the Court
    held barred discovery were the Sexual Assault Counselor Privilege, 42 Pa.C.S.
    § 5945.1, the Protection from Abuse Act, 23 Pa.C.S. §§ 6101-6117, the
    Juvenile Act, and the Child Protective Services Law, 23 Pa.C.S. §§ 6301-6385,
    none of which had provisions permitting court-ordered disclosure without
    limitation on the parties who may receive such disclosure. 
    705 A.2d at
    1329-
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    34 & nn.7, 9, & 12. The only mention of Section 3130.44 in V.B.T. consisted
    of a citation to Section 3130.44(c) as authority for the proposition that foster
    care agencies are required to disclose protected information to foster parents.
    
    705 A.2d 1325
    , 1333-34 n.13.        Moreover, the Court in V.B.T. made no
    determination as to the scope of the documents and information that were
    protected from discovery by the statutory privileges that it addressed. Id. at
    1329, 1330-33 nn. 8, 11, & 13.
    In S.M., the Commonwealth Court held that Section 3130.44 did not
    protect a foster care case record from discovery in an action brought by the
    foster child and his legal guardian and natural parents for injuries allegedly
    inflicted by a former foster parent when he was in her home. S.M., 
    686 A.2d at 873-76
    . The court held that Section 3130.44 did not prohibit the disclosure
    that the plaintiffs in that case sought because the plaintiffs were parties who
    were entitled to receive information from the foster care case record on
    request under Section 3130.44(d). 
    Id. at 875-76
    . A foster parent is not listed
    in Section 3130.44(d) as a party entitled to receive information from a foster
    care case record, and the right to receive information under Section
    3130.44(d) is different from the provisions that permit a foster parent to
    receive information, as Section 3130.44(d) requesters are entitled to the
    information without limitation as to the need for or use of the information.
    The S.M. court did not address whether or under what circumstances a
    court has a right to order disclosure under Section 3130.44(e). The S.M. court
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    also held that Section 6339(b) of the Child Protective Services Law, which
    governs the confidentiality of child abuse reports, did not prohibit the
    disclosure because the Child Protective Services Law gave the abused child a
    right to receive the documents upon written request. 
    Id. at 875
    .
    In L.W., as in S.M., the foster child brought the action seeking
    discovery, and the federal court held that the documents in question were not
    protected from discovery because the plaintiff was statutorily entitled to the
    documents upon written request. 
    2015 WL 1499865
     at *2-*4. In addition,
    the only privilege considered in L.W. was Section 6339(b) of the Child
    Protective Services Law, not a claim that Section 3130.44 protected
    documents or information from discovery, and the court only referenced
    Section 3130.44 in passing as one of the bases for the decision in S.M. 
    2015 WL 1499865
     at *2-*3 & n.1.
    One federal district decision, Dreibelbis v. Young, 
    2007 WL 9761596
    (M.D. Pa. 2007), has considered whether Section 3130.44(e) permits court-
    ordered discovery of records that are otherwise protected as confidential by
    Section 3130.44.     In Dreibelbis, a suit alleging that the plaintiff’s
    constitutional rights were violated in a state child custody action, the court
    denied discovery of case records on the ground that they were protected from
    disclosure by Section 3130.44. 
    2007 WL 9761596
     at *2. The court noted
    that Section 3130.44(e) permits authorization of disclosure by court order and
    stated that it “appears to create an exception for disclosure authorized by
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    courts handling custody cases.”   
    Id.
     at *1 n.3.    The court concluded that
    Section 3130.44(e) did not provide grounds to order the disclosure because
    the case over which it was presiding was an ancillary action and not the
    custody action itself. 
    Id.
     at *1-*2 nn.3 and 5.
    The Juvenile Act, 42 Pa.C.S. § 6301 et seq., also bears on the present
    issue. Section 6307(a) of the Juvenile Act provides:
    (a) General rule.--All files and records of the court in a
    proceeding under this chapter are open to inspection only
    by:
    (1) The judges, officers and professional staff of the court.
    (2) The parties to the proceeding and their counsel and
    representatives, but the persons in this category shall not be
    permitted to see reports revealing the names of confidential
    sources of information contained in social reports, except at the
    discretion of the court.
    (3) A public or private agency or institution providing supervision
    or having custody of the child under order of the court.
    (4) A court and its probation and other officials or professional
    staff and the attorney for the defendant for use in preparing a
    presentence report in a criminal case in which the defendant is
    convicted and who prior thereto had been a party to a proceeding
    under this chapter.
    (4.1) A court in determining custody, as provided in 23 Pa.C.S. §§
    5328 (relating to factors to consider when awarding custody) and
    5329.1 (relating to consideration of child abuse and involvement
    with protective services).
    (5) A judge or issuing authority for use in determining bail,
    provided that such inspection is limited to orders of delinquency
    adjudications and dispositions and petitions relating thereto,
    orders resulting from disposition review hearings and histories of
    bench warrants and escapes.
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    (6) The Administrative Office of Pennsylvania Courts.
    (6.1) The judges, officers and professional staff of courts of other
    jurisdictions when necessary for the discharge of their official
    duties.
    (6.2) Officials of the Department of Corrections or a State
    Correctional Institution or other penal institution to which an
    individual who was previously adjudicated delinquent in a
    proceeding under this chapter has been committed, but the
    persons in this category shall not be permitted to see reports
    revealing the names of confidential sources of information
    contained in social reports, except at the discretion of the court.
    (6.3) A parole board, court or county probation official in
    considering an individual’s parole or in exercising supervision over
    any individual who was previously adjudicated delinquent in a
    proceeding under this chapter, but the persons in this category
    shall not be permitted to see reports revealing the names of
    confidential sources of information contained in social reports,
    except at the discretion of the court.
    (6.4) The board for use in completing assessments.
    (6.5) The Department of Human Services for use in determining
    whether an individual named as the perpetrator of an indicated
    report of child abuse should be expunged from the Statewide
    database.
    (7) With leave of court, any other person or agency or
    institution having a legitimate interest in the proceedings
    or in the work of the unified judicial system.
    42 Pa.C.S. § 6307(a) (emphasis added).
    The only category of persons to which disclosure is permitted under
    Section 6307(a) that arguably could encompass a plaintiff in a personal injury
    suit is Subsection (a)(7), supra. This Court held in V.B.T. that Subsection
    (a)(7) permits disclosure only to a person who has direct involvement in the
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    juvenile court proceeding or dependency proceedings as to which disclosure
    is sought and that a plaintiff in a personal injury case is not such a party and
    is barred by the Juvenile Act from discovery of juvenile court and dependency
    proceeding records. 
    705 A.2d at 1331
    .5 The trial court’s conclusion that foster
    parents—and therefore Gilyard—are persons “having a legitimate interest in
    the proceedings,” Trial Court Opinion, 10/13/22, at 9, is therefore error.
    This does not, however, protect the entire foster care case record from
    discovery. The Juvenile Act’s restriction on disclosure applies only to “files
    and   records     of   the   court”   in   delinquency   proceedings,   dependency
    proceedings, related proceedings involving other states, transfers from
    criminal proceedings, and summary offense proceedings against a juvenile
    relating to delinquency proceedings. 42 Pa.C.S. §§ 6303(a), 6307(a), (b).
    Plaintiff’s request for documents concerning “medical history, mental health
    diagnosis, general behaviors, relationships between [Johnson] and his
    parents, educational history, life experiences, and previous and/or prospective
    circumstances,” Plaintiff’s Request for Production of Documents (Set I),
    Requests Nos. 1-2, plainly encompasses at least some documents in
    Appellants’ possession that are not court files or court records.          Indeed,
    Appellants concede that the placement of a child in a foster home is not a
    ____________________________________________
    5 Section 6307 of the Juvenile Act has been amended multiple times since
    V.B.T. was decided. None of those amendments, however, changed the
    language of Subsection (a)(7), see 
    705 A.2d at
    1331 n.9, and none of the
    additional categories of persons entitled to disclosure that have been added,
    Subsections 4.1 and 6.1-6.5, have any possible applicability to Plaintiff.
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    proceeding under the Juvenile Act and the Juvenile Act does not apply to all
    the documents that Plaintiff sought. Appellants’ Brief at 39-40.
    In addition, Section 6307(b) of the Juvenile Act, which was added by
    amendment after V.B.T. in 2006, permits public disclosure of limited
    information if the juvenile has been adjudicated delinquent for certain violent
    criminal conduct committed when he was 14 or older. 42 Pa.C.S. § 6307(b).
    If Johnson had any juvenile adjudications satisfying Section 6307(b)’s
    requirements, the Juvenile Act would not bar disclosure of the “offenses
    charged and the disposition of the case” and Johnson’s age at the time. 42
    Pa.C.S. § 6307(b)(2).
    To the extent, therefore, that the trial court ruled that Johnson’s entire
    foster care case record is not protected from discovery, we agree. It remains
    for us to examine, however, whether the trial court erred in ordering
    production of all the requested documents and ordering such production
    without any confidentiality order.
    Defendants/Appellants argue that the trial court’s order is overbroad
    because it required production of all documents and some of the documents
    are protected from disclosure even if the foster care case record is not entirely
    protected from discovery.      Specifically, they maintain that even if the
    Administrator has a right to information from the case record based on
    Gilyard’s status as a foster parent and regardless of whether the court has the
    power to order disclosure in a personal injury action under Section
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    3130.44(e), Section 3130.44(f) permits disclosure “only if the information
    released does not contain material which … is protected or made confidential
    by law.” 
    55 Pa. Code § 3130.44
    (f). Production therefore cannot be ordered
    as to documents that are protected by other privileges. As discussed above,
    any court files or court records from delinquency or dependency proceedings
    that are in Defendants/Appellants’ possession are protected from discovery
    except to the limited extent of disclosures permitted by Section 6307(b) of
    the Juvenile Act. 42 Pa.C.S. § 6307(a), (b); V.B.T, 
    705 A.2d at 1331
    .
    Defendants/Appellants also argue that the foster care case record
    contains    documents       protected    by     HIPAA       and   the     MHPA.
    Defendants/Appellants’ contention that HIPAA bars the trial court from
    ordering production of medical information concerning Johnson is without
    merit. The HIPAA provision on which Defendants/Appellants rely, 
    45 C.F.R. § 164.508
    (a), applies only to health plans, health care clearinghouses, and
    health care providers. 
    45 C.F.R. § 164.103
    , 164.500(a). In addition, HIPAA
    permits disclosure of medical information in litigation in response to a
    subpoena or discovery request where notice has been given to the patient, as
    long as a protective order is in place that prohibits the parties from using or
    disclosing the health information for any purpose other than the litigation and
    requires the return or destruction of all copies of the health information at the
    end of the litigation. 
    45 C.F.R. § 164.512
    (e)(1)(ii)-(v).
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    It is possible that some of the documents ordered produced are
    protected by the MHPA. The MHPA protects mental health treatment records
    from disclosure and is not limited to patient communications.     50 P.S. §
    7111(a); M.M. v. L.M., 
    55 A.3d 1167
    , 1174 (Pa. Super. 2012). The MPHA,
    however, applies only to involuntary treatment and voluntary inpatient
    treatment. 50 P.S. § 7103; M.M., 
    55 A.3d at 1174
    . There is nothing in the
    record from which it can be determined whether Defendants/Appellants’ files
    concerning Johnson contain records from involuntary mental health treatment
    and voluntary inpatient mental health treatment.
    In addition to requiring disclosure without regard to whether some
    portions of Appellants’ documents are protected from disclosure by privileges
    other than 
    55 Pa. Code § 3130.44
    , the trial court did not impose any
    confidentiality order or restriction on the Administrator’s use of the
    documents. While it does not appear that Defendants/Appellants specifically
    requested a confidentiality order, the bases on which the discovery order can
    be permissible under Section 3130.44 require that the production be subject
    to a confidentiality order.
    Gilyard was not a person entitled to information from the foster care
    case record under Section 3130.44(d) regardless of the purpose for which it
    was to be used, and her right to obtain case record information as a foster
    parent was subject to an obligation of confidentiality.   V.B.T, 
    705 A.2d at
    1333-34 n.13.    Moreover, the overriding purpose of Section 3130.44 is to
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    require that information from the foster care case record be treated as
    confidential. 
    55 Pa. Code § 3130.44
    (a). The court’s authority under Section
    3130.44(e) to order disclosure, therefore, should be construed in light of this
    overriding confidentiality purpose and permit an order to produce documents
    or information from the foster care case record only under an order keeping
    those documents confidential.
    Accordingly, in the first appeal (under 2267 EDA 2021), we vacate and
    remand to the trial court, which shall exclude Johnson’s juvenile court records
    of delinquency and dependency proceedings, except for limited public
    disclosure permitted by Section 6307(b) of the Juvenile Act, exclude Johnson’s
    involuntary mental health treatment and voluntary inpatient mental health
    treatment records, and require entry of a confidentiality order prior to
    disclosure.
    In the second appeal (under 662 EDA 2022), the only claim of error that
    Defendants/Appellants raise is that the trial court lacked jurisdiction to enter
    its January 31, 2022, order requiring Defendants/Appellants to provide full
    and complete responses to the Administrator’s third set interrogatories other
    than Interrogatories 12 and 14 and to produce the documents requested by
    the third set document requests.
    Rule 1701 of the Pennsylvania Rules of Appellate Procedure provides:
    (a) General rule.--Except as otherwise prescribed by these
    rules, after an appeal is taken or review of a quasijudicial order
    is sought, the trial court or other government unit may no
    longer proceed further in the matter.
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    *           *           *
    (c) Limited to matters in dispute.--Where only a particular
    item, claim, or assessment adjudged in the matter is
    involved in an appeal, or in a petition for review proceeding
    relating to a quasijudicial order, the appeal or petition for review
    proceeding shall operate to prevent the trial court or other
    government unit from proceeding further with only such
    item, claim, or assessment, unless otherwise ordered by
    the trial court or other government unit or by the appellate
    court or a judge thereof as necessary to preserve the rights
    of the appellant.
    Pa.R.A.P. 1701(a), (c) (emphasis added).       Accordingly, a collateral order
    appeal divests the lower court of jurisdiction only as to the issue on appeal
    and matters related to or intertwined with that issue. Commonwealth v.
    McClure, 
    172 A.3d 668
    , 685, 698-99 (Pa. Super. 2017).
    As discussed, the first appeal was a collateral order appeal involving
    only the trial court’s October 21, 2021, order that Defendants/Appellants
    produce documents “that contain any information concerning Xavier Johnson’s
    medical history, mental health diagnosis, general behaviors, relationships
    between him and his parents, educational history, life experiences, and
    previous and/or prospective circumstances.”      Trial Court Order, 10/21/21;
    Plaintiff’s Request for Production of Documents (Set I), Requests Nos. 1-2.
    The trial court did not enter any order staying the action.
    The third set interrogatories and document requests that are the subject
    of the trial court’s January 31, 2022, order do not request information or
    documents concerning Johnson’s medical history, mental health diagnosis,
    behaviors, relationships with parents, educational history, life experiences, or
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    prospective circumstances. Rather, the interrogatories seek identification of
    witnesses    (Interrogatories   1-5),    interviews   and   statements   obtained
    concerning    the   action   (Interrogatories    6-7),   information   concerning
    investigations conducted by Defendants/Appellants or others concerning
    Johnson’s placement with Gilyard and Gilyard’s murder (Interrogatories 8-11),
    information concerning statements of witnesses and parties (Interrogatory
    13) and identification of admissions of a party and documents that
    Defendants/Appellants intend to use at trial (Interrogatories 15 and 16).
    Plaintiff’s Interrogatories (Set III) at 3-8. The document requests are limited
    to the scope of these interrogatories, as they seek only documents that
    Defendants/Appellants identify in their third set interrogatory answers.
    Plaintiff’s Request for Production of Documents (Set III) at 3.
    Defendants/Appellants argue that the discovery sought in the second
    motion to compel involves the same privilege issues that are the subject of
    the first appeal. Discovery that requests different information or documents
    is closely intertwined with an appeal from a prior discovery order if it is subject
    to the same privilege objection that is at issue in the pending appeal and the
    issues as to the applicability of the privilege are the same. McClure, 
    172 A.3d at 685
    . A court therefore lacks jurisdiction during the pendency of the appeal
    to order further discovery that is subject to a privilege objection that is at
    issue in a pending appeal if the issues as to the applicability of the privilege
    are the same as in the appeal. 
    Id.
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    Here, although the privilege that Defendants/Appellants asserted was
    the same, whether it applied to the third set discovery involved additional,
    different issues. In the first appeal, the discovery sought documents from
    Defendants/Appellants’ foster care case record and the issue is whether
    documents and information in the foster care case record are protected from
    discovery. On the Administrator’s second motion to compel, the issues were
    whether the third set discovery sought information and documents in the
    foster care case record and, as to information and documents that are both in
    the case record and available outside the case record, whether, assuming that
    the case record is protected from discovery, the requested discovery was
    within the scope of that protection. The trial court ordered the discovery, not
    based on the privilege ruling that was on appeal, but on the ground that the
    discovery did not seek information from the foster care case record. Trial
    Court Opinion, 6/22/22, at 6.
    That conclusion is largely correct with respect to Interrogatories 6-11
    and 13, as they appear to primarily seek information created after Gilyard was
    murdered and Johnson was no longer in the foster care system, and
    Interrogatories 15 and 16, which seek information concerning admissions of
    the Administrator and books and magazines that Appellants intend to
    introduce at trial. Plaintiff’s Interrogatories (Set III) at 5-8. It is possible,
    however, that some information that those interrogatories seek could pre-date
    the murder and be in or from the case record. Interrogatories 1-5, concerning
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    identification of witnesses, appear to encompass information that could be
    obtained both from the case record and from other sources and the
    information and documents sought by Interrogatories 2(c), and 3-5 are likely
    to include confidential case record information, some of which may not be
    available from sources outside the case record.
    The mere fact that information available from non-privileged sources is
    also in a file that is protected from discovery does not shield it from discovery.
    Pasquini v. Fairmount Behavioral Health System, 
    230 A.3d 1190
    , 1197-
    99 (Pa. Super. 2020) (MHPA did not apply to request for admission concerning
    defendant’s knowledge of patient’s sex offender status even if that information
    was in patient’s privileged file because that information was publicly available
    information). But because the order required full responses, and some of the
    interrogatories could include information that is only in the case record, the
    order did compel discovery that involves the same issue as in the first appeal.
    Although this problem could have been avoided by limiting the required
    responses to information and documents not obtained from the case record,
    and it appears that the Administrator and the trial court at the hearing may
    have intended to so limit the order, N.T., 1/26/22, at 6, 11-12, 25, other than
    excluding two interrogatories that clearly sought information from the foster
    care case record, Interrogatories 12 and 14, the order that the trial court
    entered had no such limitation. Trial Court Order, 1/31/22. On this record,
    we determine that the trial court had jurisdiction to order some of this
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    discovery, but the overlap between the discovery order and the issue in the
    first appeal creates a jurisdictional issue.
    Accordingly, in the second appeal (under 662 EDA) we vacate the order
    and remand for further discovery proceedings to be conducted consistent with
    this decision and without prejudice to Defendants/Appellants to raise
    objections of admissibility.   In this regard, Defendants/Appellants shall file
    with the trial court a detailed list of what documents and information it
    possesses and which among that list it considers privileged. At the conclusion
    of such proceedings, the trial court shall enter an order permitting the
    Administrator to obtain the information and documents to which he is entitled.
    Orders vacated. Case remanded for further proceedings consistent with
    this decision. Jurisdiction relinquished.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 7/28/2023
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